HomeMy WebLinkAbout1983PLEASE MAIL REPORT TO: State of New York
Office of the State Comptroller
Division of Municipal Affairs
Bureau of Municipal Research and Statistics
Governor Alfred E. Smith State Office Building
Albany, New York 12236
RECEIVED
FEB 3 8
Town Clerk Southold
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
YEAR ENDED DECEMBER 31, 19/~
NAME OF DISTRICT
TOWN OR TOWNS OF
IN THE
COUNTY OF
THE DISTRICT IS GOVERNED BY: (check one)
~ $eparate Board of Fire Commissioners or
[] Town Board
AUTHORIZATION
Article 3, Section 30, of the General Municipal law
"1. *** every *** fire *** district *** shall annually make a report of its financial condition to the comptroller.
Such report shall be made by the *** treasurer of each fire *** district ***"
"5. All reports shall be certified by the officer making the same and shall be filed with the comptroller within
sixty days after the close of the fiscal year of such *** district ***"
CERTIFICATE OF FIRE DISTRICT TREASURER
I, ~!,{,p~ C. ~'~(~d'~L~ certify that l am the Treasurer of ~ ~'l~rZ t~'~"~'~'~.~]C,
(Please Print or Type)
Fire District and that the following report is a true and c~rect statement of the financial transactions
of such Fire District for the year ended December 31, 19~.
Signature .. ~~_ ~ ~'~ ' V~ }
Dated , 19
AC 1962 (Rev. 11/82)
Print Code YZ
/'~-- CHAIRMAN OF THE BOARD
~__.~_~'~ Address
STATE OF NEW YORK
OFFICE OF THE STATECOMPTROLLER
GENERAL
EDP
RECEIPTS AND BEGINNING BALANCE Code
Al0 Real Property Taxes(sameastaxcomputatlononpage4) .... A1001
A20 State Aid for Loss in Railroad Tax Revenue .................. A3007
A30 Federal Aid for Civil Defense ...................................... A4305
A40 Charges for Fire Protection, Other Services .................. A2262
A51 Interest and Earnings .................................................. A240!
A52 Rentals ...................................................................... A2410
A53 Sale of Equipment ...................................................... A2665
A54 Gifts and Donations .................................................... A2705
A55 Refunds of Expenses .................................................. A2701
A59 Miscellaneous Revenues (specify)
.............. A2770
A81 Transfer from Capital Fund ........................................ A2850
A82 Transfer from Reserve Fund ........................................ A2882
Total Revenues .................................................. AS000
A64 Budget Notes Issued .................................................. A5750
A65 Tax Anticipation Notes Issued .................................... A5760
A66 Revenue Anticipation Notes Issued .............................. A5770
Total Notes Issued ............................................
A90 Sale of Investments .................................................... A5085
Total Receipts ................................................ A6000
Balance at Beginning of Year ...................................... A8501
TOTAL RECEIPTS AND BALANCE .............. A8599
PAYMENTS AND ENDING BALANCE
Al00 Personal Services ...................................................... A3410.1
A200 Equipment ................................................................. A3410.2
A400 Contractual and Other Expenses .................................. A3410.4
A601 Hydrant Rental ............................................................ A3410.4
A602 Fire Department or Company Services .......................... A3410.4
A603 Fire Protection .......................................................... A3410.4
A610 Judgments and Claims ................................................ A1930.4
A628 State Retirement System .............................................. A9010.8
A629 Police and Fire Retirement System .............................. A9015.8
A630 Workmens Compensation Insurance ................................ A9040.8
A633 Social Security ............................................................ A9030.8
A636 Medical, Surgical and Hospital Care .............................. A9060.8
A638 Blanket Accident Insu, ance ................. ii.~/.~ ........... A9060.8
A681 Interest on Notes .............. !~ ............................. A9729.7
A690 Redemption of Bonds .................................................. A9710.6
A691 Redemption of Notes .................................................. A9729.6
A801 Transfer to Capital Fund ............................................ A9550.9
A802 Transfer to Reserve Fund ............................................ A9560.9
Total Expenses .................................................. A9900.0
A900 Purchase of Investments .............................................. A9985.5
Other (specify)
............ A
Total Payments .............................................. A9999.0
Balance at End of Year (Transfer to page 4) .................. A8507
TOTAL PAYMENTS AND BALANCE ............ A8599.0
NOTE: EDP Codes are for Office of the State Comptroller use.
FUND
$
AC 1965 (Rev. 11/82)
Print Code X
ANNUAL REPORT OF NOTICES OF TORT CLAIMS
FISCAL YEAR ENDING 19.~.~
(Name of Munrc~pality)
COUNTY
L
Claims Pending at Beginning of Year
Notices of Claims Filed During Year
NUMBER
Claims Disposed of During Year Prior to
Commencement of Court Action:
4a By Municipality
4b By Insurance Carrier
Claims Disposed of During Year After
Commencement of Court Action:
5a By Municipality
5b By Insurance Carrier
Sc By Judgment
6a
6b
7
8
Other (explain)
Number Amount Amount Paid
of of on
Claims Claims Claims
NUMBER TOTAL
TOTAL CLAIMS DISPOSED OF DURING YEAR
Claims Pending at End of Year (Line ] minus Line 7)
$ $ XXXX
XXXX
XXXX
$ $
$ $
AUTHORIZATION
Article 4, Section 50. f of tl~e General Municipal /aw
JIXXX.
3. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summary,
to the governing board of such municipal corporation or of such authority or commission and shall file a copy thereof in the office of
state comptroller within sixty days after the close of the fiscal year of such municipal corporation or of such authority or commission. A
municipal corporation, authority or commission required by section thirty of the general municipal law to file an annual report of its finan-
cial condition with the state comptroller shall file the report required by this subsection with such financial report.
xxxe*.
Dated:
Report Prepared by:
Title
Address
Note: It is not necessary to furnish any additional information or details of the above claims or notices of claims.
If there were no notices of Tort Claims filed or disposed of, please state "NONE" and return this repo~t with the Annual Financial
Report.
OFFICE OF THE STATE COMPTROLLER
DIVISION OF MUNICIPAL AFFAIRS
ALBANY, NEW YORK 12236
CAPITAL FUND
RECEIPTS AND BEGINNING BALANCE
EDP
Code
H51 Interest and Earnings .............................................. H2401
H60 Bonds .................................................................. H5710
H61 Premium and Accrued Interest an Bonds .................. H2710
H62 Capital Notes ........................................................ H5740
H63 Bond Anticipation Notes ........................................ H5730
H82
Transfer from General Fund .................................... N2810
Other .................. H2770
Total Receipts .............................................. H6000
Balance at Beginning of Year .................................. H8491
TOTAL RECEIPTS AND BALANCE ............ H8499
H200
H 500
H693
H810
PAYMENTS AND ENDING BALANCE Equipment ............................................................
Real Property (include interestduring construction) ....
Redemption of Bond Anticipation Notes ....................
Transfer to General Fund ........................................
Other ..................
Total Payments ............................................
Balance at End of Year(Transfer to page 4) ..............
TOTAL PAYMENTS AND BALANCE ............
H3410.2
H3410.3
H9930.5
H9510.9
H9995.5
H9999.0
H8497
H8499.0
RESE
RECEIPTS AND BEGINNING BALANCE
M51 Interest and Earnings ............................................
M53 Sale of Assets ......................................................
M82 Transfer from General Fund ....................................
M83 Transfer from Reserve Fund ....................................
Other ....................
Total Receipts ..............................................
Balance at Beginning of Year ..................................
TOTAL RECEIPTS AND BALANCE ..............
PAYMENTS AND ENDING BALANCE
M200 Equipment ............................................................
MS00 Real Property ........................................................
M802 Transfer to Reserve Fund ......................................
M810 Transfer to General Fund ......................................
Other
Total Payments ............................................
Balance at End of Year (Transfer to page 4) ............
TOTAL PAYMENTS AND BALANCE ............
RVE
R2401
R2660
R2810
R2882
R2770
R6000 $
R8491
R8499 $
R3410.2 $
R3410.3
R9560.9
R9510.9
R9995.5
R9999.0 $.
R8497
R8499.0 $_
FUND(S)
Type (purpose) of Reserve
Type (purpose) Of Reserve
T2 New York State Income Taxes .. T21
T3 Federal Income Taxes ............ T22
T4 Social Security Taxes ............ T26
TS Foreign Fire Insurance Fund .... TS0
T6 Group Insurance Deductions ...... T20
Other (specify)
.... T85
.... T85
TOTALS .......................... T808
TRUST AND AGENCY
Cash Balance
Beginning of Year Cash Receipts
$.
FUNDS
Cash Disbursements
$
Cash Balance
End of Year
CAPITAL FUND
EDP
RECEIPTS AND BEGINNING BALANCE Code
H51 Interest and Earnings .............................................. N2401
H60 Bonds .................................................................. H5710
H61 Premium and Accrued Interest on Bonds .................. H2710
H62 Capital Notes ........................................................ H5740
H63 Bond Anticipation Notes ........................................ N5730
H82 Transfer from General Fund .................................... H2810
Other .................. H2770
Total Receipts .............................................. H6000
Balance at Beginning of Year .................................. N8491
TOTAL RECEIPTS AND BALANCE ............ H8499
H200
HS00
H693
H810
PAYMENTS AND ENDING BALANCE Equipment ............................................................
Real Property (include interest during construction) ....
Redemption of Bond Anticipation Notes ....................
Transfer to General Fund ........................................
Other ..................
Total Payments ............................................
Balance at End of Year(Transfer to page 4) ..............
TOTAL PAYMENTS AND BALANCE ............
H3410.2 $.
H3410.3
H9930.5
H9510.9
H9995.5
H9999.0
H8497
H8499.0
RESERVE
RECEIPTS AND BEGINNING BALANCE
M51 Interest and Earnings ............................................ R2401
M53 Sale of Assets ...................................................... R2660
M82 Transfer from General Fund .................................... R2810
M83 Transfer from Reserve Fund .................................... R2882
Other .................... R2770
Total Receipts .............................................. R6000 $
Balance at Beginning of Year .................................. R8491
TOTAL RECEIPTS AND BALANCE .............. R8499 $
PAYMENTS AND ENDING BALANCE
Equipment ............................................................ R3410.2 $
Real Property ........................................................ R3410.3
Transfer to Reserve Fund ...................................... R9560.9
Transfer to General Fund ...................................... R9510.9
Other R9995.5
Total Payments ............................................ R9999.0 $__
Balance at End of Year (Transfer to page 4) ............ R8497
TOTAL PAYMENTS AND BALANCE ............ R8499.0 $
M200
M 500
M802
M810
FUND(S)
Type (~?~,~ose) of Reserve
,!
Type (purpose) of Reserve
T2 New York State Income Taxes .. T21
T3 Federal Income Taxes ............ T22
T4 Social Security Taxes ............ T26
T5 Foreign Fire Insurance Fund .... TS0
T6 Group Insurance Deductions ...... T20
Other (specify)
.... TBS
.... T85
TOTALS .......................... T808
TRUST AND AGENCY
Cash Balance
Beginning of Year Cash Receipts
FUNDS
Cash Disbursements
Cash Balance
End of Year
5 7_ ',f. (:,(.: 0
q!rgt.~o 0
RECONCILIATION OF CASH AND BANK BALANCES
Cash Balancee by Fund at End of Year:
General Fund (from page 2) ......................................................................................
Capital Fund (from page 3) ......................................................................................
Reserve Fund (fram page 3) ....................................................................................
Trust and Agency Funds (from page 3) ......................................................................
Total - All Funds ..............................................................................................
Bank Balances at End of Year:
Name and L.ocatlon of Ba~k
TOTALS $
Bank Balance Outstanding Checks
Net Bank Balance
Petty Cash ..........................................................................................................................................
Cash on Hand (Date Deposited ) ..............................................................
TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................
INVESTMENTS HELD AT DECEMBER 31, 19 .
Fund Description of Investment /$
TOTAL INVESTMENTS ...................................................................................... 8531 ...... 1.$
Purchase Price
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rate Amount of Tax
Town of Fire District per $1,000 (Assessed Valuation
Within Town of Assessed Valuation Multiplied by Tax Rate)
* Must agree with Real Property T ..... fl .... t top of page 2. TOTAL ASSESSED VALUATION $
DETAILED STATEMENT OF INDEBTEDNESS
[ I I Outstanding Issued Redeemed Outstanding
Bonds I Year ! Interest I Beginning I During I During End
(Show each ~ssue separately by of
· ~ i Rate I of Year j Year I Year of Year
Title and Purpose ) t I .... ~J ~ I 3 5 7
................... ..... .... , .... , ..... ; _
~--: ........ ~ I ----~- ..... I, .....
TOTAL BONDS 8'/7. XXXX XXX jS I
....................... L_x_ ___L ...................................................
TOTAL BONDS OUTSTANDING AS OF DECEMBER 31
Notes
RECEIVABLES CLAIMS PAYABLE
Amounf Due District at En~ al Year 8532 $ ~ Amount oJ Unpai~ Claims olDislrict at